Usefulness of troponin I for prediction of atrial fibrillation after coronary artery bypass grafting

被引:1
作者
Altindeger, Nuray [1 ]
Dogan, Abdullah [1 ]
Bolukcu, Ahmet [2 ]
Topcu, Ahmet Can [2 ]
Ciloglu, Ufuk [2 ]
Albeyoglu, Sebnem [2 ]
Kutlu, Hakan [2 ]
Dagsali, Sabri [2 ]
机构
[1] Gaziosmanpasa Univ, Fac Med, Dept Cardiovasc Surg, Tokat, Turkey
[2] Dr Siyami Ersek Thorac & Cardiovasc Surg Training, Dept Cardiovasc Surg, Istanbul, Turkey
来源
TURK GOGUS KALP DAMAR CERRAHISI DERGISI-TURKISH JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY | 2016年 / 24卷 / 03期
关键词
Atrial fibrillation; coronary artery bypass grafting; troponin I; CARDIAC-SURGERY; HEART-SURGERY; SHORT-TERM; RISK; MORTALITY; ARRHYTHMIAS;
D O I
10.5606/tgkdc.dergisi.2016.11620
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: This study aims to evaluate the ability of cardiac troponin I to predict high-risk for AF development after coronary artery bypass grafting. Methods: Between September 2013 and November 2013, hemodynamically stable and preoperatively in sinus rhythm 74 consecutive patients (65 males, 9 females; mean age 62.1 +/- 9.5 years; range, 44 to 75 years) who underwent elective and isolated coronary artery bypass grafting were included in the study. Blood samples were prospectively taken the day before and the next day after surgery to measure cardiac troponin I levels. Atrial fibrillation was documented by electrocardiogram daily and when necessary, until the hospital discharge. The patients were divided into two groups as atrial fibrillation group and sinus rhythm group. Results: Atrial fibrillation was detected in 15 patients (20%). There was no significant difference between the mean ages of the atrial fibrillation group and sinus rhythm group (p=0.114). Neither cross-clamp time nor cardiopulmonary bypass pump time significantly varied across between two groups (p=0.861, p=0.468, respectively). The incidence of hypertension, hyperlipidemia, and diabetes mellitus were not significantly different between the groups (p=0.225, p=0.385, p=0.318, respectively). There was no significant difference in the length of hospital and intensive care unit stay between two groups (p=0.929, p=0.186, respectively). Preoperative and postoperative cardiac troponin I levels were not associated with postoperative atrial fibrillation development (p=0.763, p=0.336 respectively). Conclusion: Our study results suggest that cardiac troponin I is not a definite predictor of postoperative atrial fibrillation in patients undergoing coronary artery bypass grafting surgery.
引用
收藏
页码:439 / 445
页数:7
相关论文
共 29 条
  • [1] Prognostic significance of elevated cardiac troponin I after heart surgery
    Adabag, A. Selcuk
    Rector, Thomas
    Mithani, Salima
    Harmala, John
    Ward, Herbert B.
    Kelly, Rosemary F.
    Nguyen, John T.
    McFalls, Edward O.
    Bloomfield, Hanna E.
    [J]. ANNALS OF THORACIC SURGERY, 2007, 83 (05) : 1744 - 1750
  • [2] Postoperative atrial fibrillation is not correlated to C-reactive protein
    Ahlsson, Anders J.
    Bodin, Lennart
    Lundblad, Olof H.
    Englund, Anders G.
    [J]. ANNALS OF THORACIC SURGERY, 2007, 83 (04) : 1332 - 1337
  • [3] Cardiac-specific troponin I levels to predict the risk of mortality in patients with acute coronary syndromes
    Antman, EM
    Tanasijevic, MJ
    Thompson, B
    Schactman, M
    McCabe, CH
    Cannon, CP
    Fischer, GA
    Fung, AY
    Thompson, C
    Wybenga, D
    Braunwald, E
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1996, 335 (18) : 1342 - 1349
  • [4] Epidemiology and new predictors of atrial fibrillation after coronary surgery
    Arribas-Leal, Jose M.
    Pascual-Figal, Domingo A.
    Tornel-Osorio, Pedro L.
    Gutierrez-Garcia, Francisco
    Del Corral, Julio J. Garcia-Puente
    Ray-Lopez, Victor G.
    Valdes-Chavarri, Mariano
    Arcas-Meca, Ramon
    [J]. REVISTA ESPANOLA DE CARDIOLOGIA, 2007, 60 (08): : 841 - 847
  • [5] Patients with atrial fibrillation complicated by coronary artery disease: Is a single value of sensitive cardiac troponin I on admission enough?; [Patienten mit Vorhofflimmern und koronarer Herzkrankheit: Reicht eine einzelne Bestimmung von sensitivem Troponin I bei der Aufnahme aus?]
    Bandorski D.
    Bogossian H.
    Braun O.
    Frommeyer G.
    Zarse M.
    Höltgen R.
    Liebetrau C.
    [J]. Herzschrittmachertherapie + Elektrophysiologie, 2015, 26 (1) : 39 - 44
  • [6] β-blocker prophylaxis for atrial fibrillation after coronary artery bypass grafting in patients with sympathovagal imbalance
    Budeus, Marco
    Feindt, Peter
    Gams, Emmeran
    Wieneke, Heinrich
    Sack, Stefan
    Erbel, Raimund
    Perings, Christian
    [J]. ANNALS OF THORACIC SURGERY, 2007, 84 (01) : 61 - 66
  • [7] Postoperative atrial fibrillation: An old problem crying for new solutions
    Creswell, LL
    Damiano, RJ
    [J]. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2001, 121 (04) : 638 - 641
  • [8] HAZARDS OF POSTOPERATIVE ATRIAL ARRHYTHMIAS
    CRESWELL, LL
    SCHUESSLER, RB
    ROSENBLOOM, M
    COX, JL
    [J]. ANNALS OF THORACIC SURGERY, 1993, 56 (03) : 539 - 549
  • [9] Short- and long-term prognostic value of postoperative cardiac troponin I concentration in patients undergoing coronary artery bypass grafting
    Fellahi, JL
    Gué, X
    Richomme, X
    Monier, E
    Guillou, L
    Riou, B
    [J]. ANESTHESIOLOGY, 2003, 99 (02) : 270 - 274
  • [10] NT-pro-BNP, but not C-reactive protein, is predictive of atrial fibrillation in patients undergoing coronary artery bypass surgery
    Gasparovic, Hrvoje
    Burcar, Ivan
    Kopjar, Tomislav
    Vojkovic, Jakov
    Gabelica, Rajka
    Biocina, Bojan
    Jelic, Ivan
    [J]. EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2010, 37 (01) : 100 - 105